NPIMap

Organization Active NPI

Pathlight Neuropsychiatric Center LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Hunt Valley, MD
National Provider Identifier
1477243152
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Practice address
55 Schilling Rd Ste 50
Hunt Valley, MD 21031-1135
Phone
(877) 825-8584
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marina Shepel
Title
Contracting & Credentialing Manager
Phone
(425) 214-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

55 Schilling Rd Ste 50
Hunt Valley, MD 21031-1135

Mailing address

PO Box 560901
Denver, CO 80256-0901

National Provider Directory

National Provider Directory
Tax ID family
Pathlight Neuropsychiatric Center8 organizations share this tax ID, including this one
Part of
Pathlight Neuropsychiatric Center

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Schilling Rd
Ste 50
Hunt Valley, MD 21031

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1477243152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560901",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802560901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SCHILLING RD STE 50",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311135",
            "telephone_number": "877-825-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHLIGHT NEUROPSYCHIATRIC CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHLIGHT NEUROPSYCHIATRIC CENTER LLC",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "SHEPEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "425-214-9321"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.